Individual provider Active NPI

Kelley Tennant, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1104474733
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
233829 Issued in AZ
Practice address
645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone
(602) 262-8900
Fax
(602) 262-8890
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 233829 AZ Primary

Addresses

Primary practice location

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351

Mailing address

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8900

Other practice location 1

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028002273 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931431707 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Anesthesia, LLCGroup PAC ID 3779746375, 3 clinicians
Scottsdale Surgical Partners, LLCGroup PAC ID 4486689114, 27 clinicians

Practice addresses (Care Compare)

6020 E Arbor Ave
Suite 105
Mesa, AZ 85206-6102
Phone (480) 830-2005

8901 E Raintree Dr
Suite 100
Scottsdale, AZ 85260-7026
Phone (480) 676-2100

Merit-based Incentive Payment System (MIPS)

Final score
63.31 of 100Reported as group
Quality
74.88
Improvement activities
0
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
233829AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Anesthesiology CurrentSince May 1, 2021 Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Oct 23, 2019 Accepting new patients
Summit Anesthesia Services PLLC Anesthesiology CurrentSince Jul 18, 2025 Accepting new patients
Mountain View Headache and Spine Institute PLLC Anesthesiology CurrentSince Nov 5, 2023 Accepting new patients
Mountain View Headache and Spine Institute PLLC Anesthesiology CurrentSince Nov 5, 2023 Accepting new patients
Sunset Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2023 Accepting new patients
Ascend Anesthesia LLC Anesthesiology CurrentSince Jul 18, 2025 Accepting new patients
Arlington Anesthesia Group, PLLC Anesthesiology CurrentSince Aug 17, 2021 Accepting new patients
Scottsdale Surgical Partners LLC Anesthesiology CurrentSince Sep 26, 2023 Accepting new patients
East Valley Endoscopy LLC PastSince Feb 8, 2023 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients

Locations

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

6020 E Arbor Ave
Ste 105
Mesa, AZ 85206
Phone (480) 830-2005

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937

2222 E Highland Ave
Ste 110
Phoenix, AZ 85016
Phone (602) 767-0007

4729 E Union Hills Dr
Ste 111
Phoenix, AZ 85050
Phone (602) 482-5444

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

8901 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 676-2100

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1104474733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121351",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121351",
            "telephone_number": "602-262-8900",
            "fax_number": "602-262-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341604",
            "country_code": "US",
            "telephone_number": "480-543-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "233829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.